Clinical Reimbursement Manager, RN - Regional

Genesis HealthCare; Clovis (NM); Remote; USD 95,000 - 105,000; Full time

Job summary

Genesis HealthCare is seeking a Clinical Reimbursement Lead to enhance quality measures and compliance within a defined geographic area. This remote position involves guiding MDS Coordinators and nursing teams while supporting training goals and improving reimbursement performance. Join a diverse and inclusive workplace that values your contributions and offers various benefits, including health insurance and financial support.

Benefits

Variable compensation plans

Tuition, travel, and wireless discounts

Employee Assistance Program for mental health

Financial support through Employee Foundation

Diverse and inclusive workplace

Health, dental, vision insurance

Company-paid life insurance

401K, paid time off

Nursing Tuition Assistance Program

Qualifications

• Graduate of an approved nursing school with RN license or equivalent.
• Experience with Medicare and State-specific Medicaid programs.
• Willingness to travel as required.

Responsibilities

• Leverage knowledge to improve center-level Quality Measure results.
• Identify MDS opportunities and collaborate with Nursing Home Administrators.
• Oversee compliance, auditing activities, and investigations related to MDS.

Skills

Knowledge of Medicare

Quality Measure Improvement

Collaboration

Education

RN License or equivalent

Job description

Overview

At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we foster a collaborative, inclusive, and supportive work environment where every team member is valued and empowered. We offer opportunities for growth, development, and advancement in various roles. Join us in our mission to enhance the well-being of our patients and residents and make a meaningful community impact.

Responsibilities

This position is remote with some travel to centers in NM.

The Clinical Reimbursement Lead models the MDS process and standards within a defined geographic area, providing guidance to MDS Coordinators and nursing teams to achieve clinical reimbursement performance. Key responsibilities include:

1. Leverage knowledge to improve center-level Quality Measure results, enhancing Star Ratings.
2. Identify MDS opportunities and collaborate with Nursing Home Administrators to set and support MDS training goals.
3. Oversee compliance, auditing activities, and investigations related to MDS and reimbursement.

Qualifications

• Graduate of an approved nursing school with a RN license or equivalent (e.g., Physical Therapist).
• Experience with Medicare and State-specific Medicaid programs.
• Willingness to travel as required for onsite presence.

Benefits

• Variable compensation plans
• Tuition, travel, and wireless discounts
• Employee Assistance Program for mental health
• Financial support through Employee Foundation
• Diverse and inclusive workplace with a dedicated DEI committee
• Health, dental, vision insurance, company-paid life insurance, 401K, paid time off
• Nursing Tuition Assistance Program

Additional voluntary insurances include pet, term, whole life, disability, hospital indemnity, personal accident, critical illness, and cancer coverage. Restrictions may apply based on various factors.

Posted Salary Range: USD $95,000 - $105,000 annually.